Objective: 

Recent updates to physician associate/assistant (PA) laws reflect less mandated supervision. Although greater autonomy may inspire experienced PAs, newer PAs may struggle with less required oversight. This study examined the influence of autonomy, career length, and the quality of the collaborative physician (CP) relationship on PA well-being.

Methods: 

A secondary analysis of data gathered in 2018 by the American Academy of Physician Associates was conducted using bivariate and multiple linear regression with moderated mediation.

Results: 

Years of experience positively predicted PA well-being and negatively predicted the percentage of time spent consulting with a CP. The interaction of the percentage of time spent consulting with a CP and the quality of the CP relationship mediated the relationship between years of experience and well-being.

Conclusions: 

Findings demonstrate that the quality of the CP relationship is most salient to the well-being of early-career PAs who spend more time in consultation with CPs.

中文翻译：

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幸福感和职业早期 PA：协作医师关系的影响

客观的： 

最近对医师助理/助理 (PA) 法律的更新反映了较少的强制监督。尽管更大的自主权可能会激发经验丰富的 PA，但较新的 PA 可能难以接受较少的监督。本研究考察了自主性、职业长度和协作医师 (CP) 关系质量对 PA 幸福感的影响。

方法： 

美国医师协会在 2018 年收集的数据的二次分析是使用双变量和多元线性回归以及适度调解进行的。

结果： 

多年的经验可以积极预测 PA 的幸福感，并消极预测花费在咨询 CP 上的时间百分比。咨询 CP 花费的时间百分比与 CP 关系质量的交互作用调节了多年经验与幸福感之间的关系。

结论： 

调查结果表明，CP 关系的质量对早期职业 PA 的幸福感最为重要，他们花更多时间与 CP 协商。